Hernial truss.



N0. 660,368. Patented Oct. 23, I900.

- J.- D. DAY.

HERNIAL muss.

(Application filed Oct. 11, 1899.)

UNITED STATES PATENT OFFICE.

JAMES D. DAY, OF LoNboN, ENGLAND.

HERNIAL TRUSS.

' SPECIFICATION forming part of Letters Patent No: 660,368, datedOctober 23, 1900.

Application filed October 11, 1899. Serial No. 733,308. (No model.)

To atZZ whom it may concern:

7 Be it known that I, JAMES D. DAY, a subject of the Queen of GreatBritain, residing at London, England, have invented a new and usefulImprovement in Surgical Trusses, (for which I have obtained a patent inGreat Britain, No. 10,177, hearing date May 15, 1899,) of which thefollowing is a specification.

Heretofore it has been proposed to construct surgical trussesfortreatiug rupture of a sheet of flexible or elastic material, eithersolid or fenestrated, cut to the shape approximately of an elongatedheart and containing a vertical slit from its upper indentationcommunicating with a circular aperture, the slit being closed by asuitable lace when the truss Suitable straps or bands have is inposition. been attached to the top extensions, which pass around thewaist, and the base or lower end is continued as a strap or band whichpasses between the legs. The truss thus constructed is applied asfollows: The slit being loosened, the penis and scrotum are passedthrough the circular aperture, whereupon the slit is laced up. The topstraps or bands are then brought over the hips, around the Waist, andbuckled at the back, and the lower strap is brought between the legs andsecured to a specially-fixed buckle carried on the ordinary braces. Thepressure of the truss may be readily adjusted by tightening or looseningthe respective straps or bands. Now according to my present invention Iform the body of the truss, which is composed of elastic or non-elasticflexible material or fabric, with a part of the body extending, Figs. 1and 2, above the aperture, and thereby forming a continuous support, thewant of such support forming a serious defect in the type of trussherein first described, because when so constructed pressure could notbe brought upon the canal and the external abdominal ring. Further, Ihave found that it is of considerable importance that this part of thedevice should be strengthened, and with this object I have providedstraps and buckles. It is in these features in combination with thehereinbefore stated type of truss that my present invention mainlyconsists, although I have added some constructional details of lesserimportancesuch, for

example, as binding the, edge of the circular aperture with some softmaterial and introducing a running string, whereby thesize of theaperture may be varied. Further, asoft pad can be employedin combinationwith the truss, if desirable, especially in cases of considerableenlargement of the rupture, although this may not be necessary inordinary cases, and the upper or top portion of the triangular part maybe further supported by buttons or straps fastened to the ordinarybraces or to special braces provided for the purpose.

I will now describe my invention with'reference to the accompanyingdrawings, in which Figure 1 shows my improved truss; and Fig. 2, asimilar truss, illustrating a variation in the lacing and the additionof top straps, Fig. 3 being a horizontal section to show a pad,hereinafter referred to, drawn to a larger scale than the previousfigures.

Referring to Fig. l, A is the body of the truss, which may be ofapproximately-triangular form and composed of solid or fenestratedelastic or non-elastic material or he rie. B is the central aperturetherein, from which the material is divided at C in an upward direction,the two adjacent edges of the V division, which extend for some distanceabove the aperture, being united by laces O, and in some cases, as inFig. 2, this division may also extend downward, as at C and be alsoprovided with means, such as laces C by which the edges may be connectedtogether.

In order to further strengthen and support the upper part of the body Aof the truss, I provide," as in Fig. 1, a strap E, fixed'at one end t'oone side of the upper part of the body and intended to extend across thecentral portion of the said upper part of the body-and to be secured atthe other side by a buckle E, fixed thereto. Such a strap E may becomposed of' elastic or non-elastic material and not only aids inretaining the truss in position, but provides an additional support atthis part. In Fig. 2 I have shown an example where two such straps E areemployed.

B is the soft material-such as india-rub ber, chamois leather, softsilk, or the like with which the edge of the central aperture is bound,and, as shown in Fig. 1, D is the runningstring I introduce into suchedge binding B, whereby the size of the aperture 13 may be contracted,and thus the tension or pressure around the base of the scrotum adjustedaccording to the particular case under treatment.

F F, Figs. 1 and 2, are the straps from which a connecting-band extendsaround the back of the wearer above or over the hips, and G G are otherstraps, which may be similarly connected, and these straps F and Gmaintain the position of the truss laterally, while I employ otherstraps I-I, attached to the top parts of the body A, which straps H mayextend and be fixed to the braces which support the trousers or to otherspecial braces, and in some cases additional straps may be employedbetween the straps F and G, if required. J is a connection convenientlycomposed of or covered by india-rubber tubing, which is connected to thelower part of the body A and passes between the legs of the wearer, theend being secured onto one of the back-bands or onto the ordinary orother braces.

Where required,l employ a soft pad or pads K, secured on the interior ofthe body A and shown by the horizontal section, Fig. 3. Such pad or padsare especially applicable in cases of considerable enlargement of therupture, but are not necessary in ordinary treatment.

I claim as my invention- 1. A surgical truss comprising a truss-body offlexible material having a central aperture, and having a verticalcentral division, means for connecting the edges of said division,devices forming an independent positive connection to the trussbodyacross said division, and means for holding the truss to the wearer,substantially as and for the purposes set forth. v

2. A surgical truss comprising an approximately triangular-shapedtruss-body, having a central aperture, a vertically-disposed divisionextending from the top, centrally through the body and at the center ofsaid aperture, to the bottom of said truss, means for connecting theedges of said division, means for strengthening the truss-body acrosssaid division, a strap connected to the lower part of the truss-body atthe lower edge, and means for holding the truss to the wearer sub stantially as and for the purposes set forth.

3. A surgical truss comprising an approxi mately-triangular truss-bodyA, of flexible material, having a central aperture B, a division at 0,devices for connecting the edges of said division, the strap E tostrengthen the truss at said division, and straps G G and F F in pairs,and the strap J to hold the truss to the body of the wearer,substantially as shown.

4. A surgical truss comprising an approximately-triangular truss-body A,of flexible material, having a central aperture B, a (livision at 0,devices for connecting the edges of said division, the straps E E tostrengthen the truss at said division, straps 1-1 H, G G, and F F inpairs, and the strap J to hold the truss to the body of the wearer,substantially as shown.

JAMES D. DAY.

Witnesses:

W. ARTHUR WEIGHTMAN, D. GREEN.

